Active NPI
Michael Guevara, PARAMEDIC
- Paramedic
- Glendale Heights, IL
National Provider Identifier
1629874714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 060373991
- Practice address
- 1608 Bloomingdale Rd
Glendale Heights, IL 60139-2657 - Phone
- (630) 668-5323
- NPI assigned
- Feb 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 060373991 | IL | Primary |
Addresses
Primary practice location
1608 Bloomingdale Rd
Glendale Heights, IL 60139-2657
Mailing address
412 E 4TH St
Lockport, IL 60441-2924
Phone (815) 412-5571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060373991 | IL | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenside Fire Protection District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Glendale Heights, IL
- NPI 1366457897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1629874714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E 4TH ST",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604412924",
"telephone_number": "815-412-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601392657",
"telephone_number": "630-668-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "MICHAEL",
"credential": "PARAMEDIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IL",
"license": "060373991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.